Leading Pediatric Surgeon of the Tricity, Dr (Prof) KLN Rao, Director Pediatric Surgery, Paras Bliss Hospital Panchkula, and former Professor & HOD at PGI Chandigarh, successfully treated a 6 weeks old baby for abdominal tumor. The baby was diagnosed for the rare disease – Infantile Hypertrophic Pyloric Stenosis- and was provided timely treatment by the reputed pediatric surgeon.
Mr Sailesh and Mrs Seema Mathur came to the emergency wing of the hospital with complaints that their baby is continuously vomiting for the past 7 days. They also stated that the vomit colour was not yellowish in colour and it looked like ingested milk. Moreover, the baby felt hungry after vomiting. Mrs Seema Mathur further shared that her baby was severely constipated and was passing hard stools for the past 2 weeks and the baby had not passed any stool for the past 4 days, making the parents worrisome.
The baby seemed dehydrated and weak due to the vomiting. The baby was immediately taken for an ultrasound which revealed a small olive size tumour on the right side of upper abdomen. Dr KLN Rao immediately ordered further blood examinations to check the hemoglobin and electrolyte levels. The condition of the baby was diagnosed as Infantile Hypertrophic Pyloric Stenosis.
Dr (Prof) KLN Rao , Director Pediatric Surgery, Paras Bliss Hospital Panchkula states, “Pyloric stenosis is an uncommon condition in infants that blocks food from entering the small intestine. Normally, a muscular valve (pylorus) between the stomach and small intestine holds food in the stomach until it is ready for the next stage in the digestive process. In pyloric stenosis, the pylorus muscles thicken and become abnormally large, blocking food from reaching the small intestine. Pyloric stenosis can lead to forceful vomiting, dehydration and weight loss. Babies with pyloric stenosis may seem to be hungry all the time. This condition should be thought of in any child who is vomiting repeatedly without yellow colour. Gastro esophageal reflux vomiting also is a common accompaniment.”
Dr KLN Rao further states, “The causes of pyloric stenosis are unknown, but genetic and environmental factors might play a role. Pyloric stenosis usually isn’t present at birth and probably develops afterward. The best way of treating Infantile Hypertrophic Pyloric Stenosis is performing immediate surgery. The procedure (pyloromyotomy) is often scheduled on the same day as the diagnosis, unless there is severe blood disorder. In pyloromyotomy, the surgeon cuts only through the outside layer of the thickened pylorus muscle, allowing the inner lining to bulge out. This opens a channel for food to pass through to the small intestine. This procedure is done laparoscopically also, ensuring that your baby gets discharged fast and recovers well without any scars or complications.”
Mr Sailesh and Mrs Seema Mathur’s baby was administered intravenous fluids, electrolytes, and stomach washes were given to remove entire gastritis secretions from the stomach. About 12 hours of intensive treatment, the baby was taken up for surgery under general anesthesia. At operation, the pyloric tumour was delivered out gently, the obstructing swollen muscle was incised and the patency of stomach was restored. The baby was started on feeds 12 hours after surgery and was discharged home on 3rd postoperative day. Today the baby is healthy, active and gaining weight.
Mrs Seema Mathur shares, “The news that your 6 week old baby is suffering from a tumor is devastating. Our entire world came to a standstill, however Dr Rao comforted us and made us believe that our baby will be well again. He is not just a great doctor but is also an exceptional human being who understands what tension the parents would be in. The counseling, surgery, post surgical care was all transparent and supportive. We feel that we were lucky to take the decision of coming to Paras Bliss for Dr Rao. May every parent in need find him.”